0190 Admission Avoidance- Improving Patient Safety With Care And Compassion

BackgroundOne of today’s healthcare challenges is to ensure that those caring for residents must value and respect the individual, whilst working within the large machines of the health and social care system to ensure seamlessness. Other targets include avoiding hospital admissions, early referral, reduced rates of pressure ulcers and falls.AimsTo identify common reasons for hospital admission from a set of care homes in South London. To design an inter professional education programme to address some of the care, compassion and technical issues that may have contributed to previous hospital admissions.MethodHealthcare disciplines attached to the care homes including GPs, district nursing and allied health staff and care staff from two residential homes attended a 1.5 day simulation programme that included skills stations, physical limitation suits and actor based simulation.ResultsCandidates found it difficult to recognise they were on the same playing field as all other learners who attended. The low fidelity activities appear to have had a higher impact than the high fidelity scenarios. Staff have reported greater confidence in communicating across professionals and disciplines. It was difficult to release staff in the time scale that the funding was provided to deliver this project within, so total IPE was not achieved on each course.ConclusionProviding an inter-professional course across four health and care provider organisations is challenging, but can be successful if you persevere and have appropriate funding.Debriefing and analysing delegate feedback has allowed us to identify common issues for staff across these disciplines that can affect hospital admission and improve communication across the varied levels of staff and organisations.This review has allowed us to refine the course and secure funding to extend this to a further 12 more courses over the next two years.ReferenceFrancis (2013) The report of the Public Inquiry into the Mid Staffordshire NHS Foundation Trust